POLA PEMANFAATAN PELAYANAN KESEHATAN DAERAH TERTINGGAL, PERBATASAN, KEPULAUAN, DAN TERPENCIL (DTPK-T) DI INDONESIA (ANALISIS DATA RISKESDAS 2013)

HEALTH CARE USE PATTERNS IN LESS DEVELOPMENT, BORDERLANDS, ARCHIPELAGOES, AND REMOTE AREAS (DTPK-T) IN INDONESIA (DATA ANALYSIS OF RISKESDAS 2013)

Abstract

Background: Utilization of health services is an important
element in determining the health status of the community.
Information on the utilization of health services are needed by
health services management, in taking appropriate policy
(Feldstein 1988). communities disadvantaged areas, islands,
and remote border (DTPK-T) have limitations in the use of
health services, this is due to geographical conditions that are
difficult to reach, limited infrastructure and health human
resources that add to the complexity of the problem.
Objectives: Reviewing and analyzing the patterns of utilization
of health services for people in underdeveloped regions, border,
island, and remote.

Method: This study uses secondary data from the Basic Health
Research (RISKESDAS) in 2013, with a cross-sectional design.
In this study focused to see the pattern of utilization of the public
in disadvantaged areas, border, island, and remote in obtaining
health services at the health center.

Results: Least developed society, border, island, and remote
use more health centers, out of total 42.623 respondents,
approximately 18.882 people or 43.5% are utilizing the services
health centers, physician practices 19.5%, gender, economic
status, education, travel time and transportation costs, doctor's
diagnosis of the disease in the suffering of both communicable
and non-communicable, rural location had a significant effect on
health care utilization, while the category of regions did not have
a significant effect on the utilization of health centers.
Conclusion: People in, Less developed, border, island, and
remote areas (DTPK-T) have made use of basic health care
facilities (health centers), in addressing health issues. Special
policies are needed in order to improve the quality of care by
providing health resources, infrastructure, and availability of
drugs.